Marek M. Rogowski, Christian Attenberger, Christian Eichhorn, Matthias Frick and Kaffer Kara
Since their introduction in 1977, percutaneous coronary interventions have gained significance due to their excellent results and improving both quality of life and patients’ prognosis. In patients with myocardial infarction, transradial coronary interventions with implantation of drug eluting stents have become widely performed and recommended as first-line therapy. The proper risk stratification in acute cases has been discussed in the literature for the last two decades but no consensus exists. In this paper, data from 285 patients treated with transradial coronary intervention due to myocardial infarction (both STEMI and NSTEMI) were analyzed retrospectively. The goal was to evaluate simple risk scores in predicting possible complications and short-term mortality. The analysis showed that both ejection fraction and a simple ACEF score were able to predict an unfavorable event (OR 0.945, 95% CI; 0.920 to 0.970, p<0.001; OR 2.29, 95%CI; 1.498 to 5.694, p=0.002; respectively). This effect needs validation in larger patients’ cohorts.